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Meningitis

Author: Pediatric Oncall

Question
A 7 month old boy born of non consanguineous marriage presented with fever, cough, cold and 3 episodes of convulsion within 6 hours. Initially the convulsion was generalized tonic clonic convulsion followed by 2 left focal convulsion each lasting for 5-10 minutes without past ictal drowsiness. There was no history of tuberculosis, family history of seizures or fall. Birth and milestones were normal. On examination, he was conscious, had normal vital parameters. There was no beading, hypertension, neurological signs or neck stiffness. In view of 3 episodes of seizures with fever, a lumbar puncture was done that showed 72 cells/cumm (100% lymphocytes), proteins of 38 mg% and sugar of 42 mg% (corresponding blood sugar = 120 mg%). His CT brain was done which was normal. The child was given antibiotics for meningitis for 14 days.

Are antibiotics required in this patient?

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